| Entity Name: | SOUTHERN ILLINOIS MEDICAL SERVICES, NFP |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Not-for-Profit |
| Status: | Goodstanding |
| Date Formed: | 30 Aug 2006 |
| Company Number: | CORP_65115069 |
| File Number: | 65115069 |
| Type of Business: | Not for Profit |
| Place of Formation: | ILLINOIS |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NHSYN37JMVR4 | 2024-08-03 | 2601 W MAIN ST, CARBONDALE, IL, 62901, 1031, USA | 1239 E MAIN ST, PO BOX 3988, CARBONDALE, IL, 62902, 3988, USA | |||||||||||||||||||||||||||||||||||||
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| Congressional District | 12 |
| State/Country of Incorporation | IL, USA |
| Activation Date | 2023-08-08 |
| Initial Registration Date | 2010-07-21 |
| Entity Start Date | 2006-10-26 |
| Fiscal Year End Close Date | Mar 31 |
Service Classifications
| NAICS Codes | 621112, 621391, 621399, 621999 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | KYLE CHAMNESS |
| Address | 1239 E. MAIN ST., CARBONDALE, IL, 62902, 3988, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | ROSEMARY HOWELL |
| Address | 1239 E MAIN ST, CARBONDALE, IL, 62902, 3988, USA |
| Past Performance | Information not Available |
|---|
| Name and Address | Role | Appointment Date |
|---|---|---|
| JOHN R DALY, 1239 EAST MAIN ST, CARBONDALE, 62902, JACKSON | Agent | 2019-07-23 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| SIH WORK CARE | NFP Assume Name | 2020-10-13 | No data | No data | No data |
| SIH CENTER FOR MEDICAL ARTS | NFP Assume Name | 2020-10-13 | No data | No data | No data |
| SIH LOGAN PRIMARY CARE HERRIN | NFP Assume Name | 2020-09-10 | No data | No data | No data |
| SIH LOGAN PRIMARY CARE WEST FRANKFORT | NFP Assume Name | 2020-09-10 | No data | No data | No data |
| SIH BRAIN & SPINE INSTITUTE | NFP Assume Name | 2017-02-21 | No data | No data | No data |
| SIH MEDICAL GROUP, NFP | NFP Assume Name | 2013-04-12 | No data | No data | No data |
| LOGAN PRIMARY CARE | No data | 2012-01-09 | 2020-08-12 | Voluntary Cancellation | No data |
| WORKCARE OCCUPATIONAL HEALTH | No data | 2011-05-25 | 2020-08-12 | Voluntary Cancellation | No data |
| PREMIER ONCOLOGY CARE | No data | 2009-12-17 | 2015-07-15 | Voluntary Cancellation | No data |
| TRINITY NEUROSCIENCE INSTITUTE | No data | 2008-08-14 | 2015-07-15 | Voluntary Cancellation | No data |
Date of last update: 13 Jan 2025
